0001367859-18-000152.txt : 20181113
0001367859-18-000152.hdr.sgml : 20181113
20181113152924
ACCESSION NUMBER: 0001367859-18-000152
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181109
FILED AS OF DATE: 20181113
DATE AS OF CHANGE: 20181113
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Conner Michael R
CENTRAL INDEX KEY: 0001758518
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33003
FILM NUMBER: 181177597
MAIL ADDRESS:
STREET 1: 1124 CUMMINGS COURT
CITY: EAU CLAIRE
STATE: WI
ZIP: 54701
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Citizens Community Bancorp Inc.
CENTRAL INDEX KEY: 0001367859
STANDARD INDUSTRIAL CLASSIFICATION: SAVINGS INSTITUTION, FEDERALLY CHARTERED [6035]
IRS NUMBER: 000000000
STATE OF INCORPORATION: MD
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2174 EASTRIDGE CENTER
CITY: EAU CLAIRE
STATE: WI
ZIP: 54701
BUSINESS PHONE: 715 836 9994
MAIL ADDRESS:
STREET 1: 2174 EASTRIDGE CENTER
CITY: EAU CLAIRE
STATE: WI
ZIP: 54701
4
1
wf-form4_154214094783095.xml
FORM 4
X0306
4
2018-11-09
0
0001367859
Citizens Community Bancorp Inc.
CZWI
0001758518
Conner Michael R
C/O CITIZENS COMMUNITY BANCORP, INC.
2174 EASTRIDGE CENTER
EAU CLAIRE
WI
54701
0
0
0
1
Director of Subsidiary
Common Stock, par value $0.01 per share
2018-11-09
4
A
0
1354
0
A
4431
D
Represents restricted shares of Common Stock awarded under the Company's 2018 Equity Incentive Plan, which shares vest on December 31, 2019.
/s/ Rebecca L. Johnson, Attorney-in-fact
2018-11-13